Individual provider Active NPI

Judith Jayne Zachariasen, PHARMD

  • Pharmacist
  • Sioux Falls, SD
National Provider Identifier
1528184090
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5273 Issued in SD
Practice address
1900 S Marion Rd
Sioux Falls, SD 57106-3636
Phone
(605) 361-3347
Fax
(605) 361-3417
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5273 SD Primary

Addresses

Primary practice location

1900 S Marion Rd
Sioux Falls, SD 57106-3636

Mailing address

725 W Cascade St
Sioux Falls, SD 57108-3129
Phone (605) 330-9909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528184090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W CASCADE ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083129",
            "telephone_number": "605-330-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S MARION RD",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063636",
            "telephone_number": "605-361-3347",
            "fax_number": "605-361-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARIASEN",
        "first_name": "JUDITH",
        "middle_name": "JAYNE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "5273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.